严重慢性阻塞性肺疾病患者早期实施经皮微创气管切开的应用价值

目的探讨严重慢性阻塞性肺疾病患者早期实施经皮微创气管切开的应用价值。方法选择80例患者，随机分为两组，各40例，其中观察组实施早期的经皮微创气管切开术，对照组则实施常规气管切开术，比较两组患者手术时间、术中出血量和发生的并发症情况。结果观察组手术时问显著短于对照组（P〈0．05），术中出血量少于对照组（P〈0．05），观察组发生皮下气肿及伤口感染的几率均显著小于对照组（P〈0．05），且观察组未出现气管食管瘘，而对照组则出现2例气管食管瘘患者。结论在严格把握适应证前提下，经皮气管切开术可用于慢阻肺患者，其能缩短手术时间，减少术中出血及术后并发症。

The value of percutaneous tracheostomy in COPD patients

Objective To investigate the value of percutaneous tracheostomy in COPD patients. Methods 80 cases were randomLy divided into two groups, each 40 cases,the observation group were implemented the percutaneous tracheotomy,the control group were implemented the conventional traeheotomy,then operative time, blood loss and complications occur were compared in the two groups. Results The operative time in observation group was shorter than control group（P 〈 0.05）,blood loss was less than control group（P 〈 0.05）, and the observation group with subcutaneous emphysema risk and wound infection were less than control group（P 〈 0.05）,the observation group did not appear tracheoesophageal fistula, and two cases traeheoesophageal fistula were appeared in the control group. Conclusion With the premise of strictly grasp indications, percutaneous tracheostomy can be used in patients with COPD,which can shorten the operation time and reduce bleeding and postoperative complications.